Individual
STEPHANIE JAYNE TOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2801 SARATOGA ST, SHAWNEE, OK 74804-1739
(405) 273-5801
(405) 878-3814
Mailing address
2801 SARATOGA ST, PO BOX 849, SHAWNEE, OK 74804-1739
(405) 273-5801
(405) 878-3814
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25091
OK
207Q00000X
Family Medicine Physician
25091
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982746376
BLUE SHIELD
OK
05
—
200162830B
—
OK
Enumeration date
02/13/2007
Last updated
06/07/2022
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